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Department of Physical Therapy >
Student Research and Publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25244

Title: Surgical day of coronary artery bypass graft: its impact on frequency of physiotherapy intervention and patient outcomes
Authors: Marsden, Kyla
Ge, Tiphanie
Do, Jennifer
Reeves, Julie
Advisor: Berg, Katherine
Fox, Patricia
Beavers, Lindsay
Parkes, Joanna
Yue, Sandra
Coleman, Jamie
Department: Physical Therapy
Keywords: artery bypass graft
duration of oxygen dependence
frequency of physiotherapy intervention
length of stay
physiotherapy
time to independent mobility
Issue Date: 2009
Abstract: Purpose: To examine the pre-operative characteristics and post-operative outcomes among coronary artery bypass graft (CABG) patients that experience post-operative complications. To investigate the frequency of physiotherapy (PT) intervention and potential differences in patient outcomes based on surgical day of the week among on-pathway CABG patients. Method: A retrospective chart review was conducted for 333 patients who underwent CABG surgery at St. Michael s Hospital from May 1, 2007 through April 30, 2008. Data were collected using a data extraction form and quantitative analyses were performed to determine differences in pre-operative characteristics and post-operative patient outcomes between groups. Results: The off-pathway group presented with more comorbidities and poorer post-operative outcomes. No difference in frequency of PT intervention was observed among on-pathway patients that received surgery early versus late in the week. Conclusions: The presence of baseline differences suggests it is possible to identify at-risk patients earlier and intervene pre-operatively. If pre-operative interventions are further developed and shown to be beneficial, they may prevent longer hospital stays following CABG surgery. No suggestions can be made at this time to shift post-operative PT services for on-pathway patients to pre-operative initiatives at SMH.
Description: Affiliated institutions include: St. Michael's Hospital (L. Beavers, J. Colemane, P. Fox, J. Parks, S. Yue), University of Toronto (K. Berg)
URI: http://hdl.handle.net/1807/25244
Appears in Collections:Student Research and Publications

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